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LUCY WAGNER
NPI 1508660515
Nurse Practitioner - Acute Care in New York, NY

Active since April 01, 2025PECOS Enrolled
100 E 74TH ST, NEW YORK, NY 10021(212) 434-4000 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lucy Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUCY WAGNER (NPI 1508660515) is an individual acute care provider in New York, New York, licensed in New York (F433009) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508660515
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLUCY WAGNER
Location Address100 E 74TH STNew York, NY 10021-3544
Mailing Address232 E 74th St Apt 2cNew York, NY 10021-3632 · (908) 963-9549
Phone(212) 434-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1508660515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · F433009
100 E 74TH ST, New York, NY 10021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lucy Wagner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668958497
PECOS Enrollment IDI20260112002517
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lucy Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trustees Of Columbia University In The City Of New York
4.9 mi
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1477068971 (212) 305-9876
North Shore - Lij Medical PC
13 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALVIN ADLER
Dermatology (Procedural Dermatology)
100 E 74TH ST, GROUND FLOOR
NEW YORK, NY 10021
New York County (212) 772-3377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucy Wagner's NPI number?

The NPI number for Lucy Wagner is 1508660515. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Lucy Wagner located?

Lucy Wagner practices at 100 E 74th St, New York, NY 10021. The listed phone number is (212) 434-4000.

What is Lucy Wagner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lucy Wagner enrolled in Medicare?

Yes. Lucy Wagner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lucy Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lucy Wagner reassigns Medicare benefits to 2 organizations: Trustees Of Columbia University In The City Of New York (New York, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lucy Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lucy Wagner was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.